Healthcare Provider Details

I. General information

NPI: 1154191815
Provider Name (Legal Business Name): SOVO HOMECARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6722 HARLEY ST
PHILADELPHIA PA
19142-3301
US

IV. Provider business mailing address

6722 HARLEY ST
PHILADELPHIA PA
19142-3301
US

V. Phone/Fax

Practice location:
  • Phone: 215-298-4280
  • Fax:
Mailing address:
  • Phone: 215-298-4280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TORIE HESTER
Title or Position: ADMINISTRATOR
Credential:
Phone: 215-298-4280